Individual
CAROLYN EARDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 466-7869
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-7684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 25774
ID
Other
Enumeration date
01/18/2008
Last updated
05/14/2009
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